Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435)277-2444
Food Establishment Permit Application
Please put N/A for any fields that are not applicable
Name of Business Owner
Mailing Address - Street:
Mailing Address - City / State
Mailing Address - Zip Code
Certified Food Safety Manager
Type of Establishment
Bar or Lounge
Click here to upload additional documents if needed.
Applicant agrees that maintenance of a health permit is predicated on compliance with the Tooele County Food Service Sanitation Rules and Regulations. This permit is revocable for noncompliance. Permit is valid for one year from date of issue.
ALL EMPLOYEES WILL HAVE A VALID FOOD HANDLERS PERMIT AVAILABLE UPON REQUEST OF THE LOCAL HEALTH INSPECTOR.
Signature of Applicant
Method of Payment:
Update Name from Personal/Organizational Information
Name on Account:
Name on Card:
Billing Street Address:
Billing ZIP/Postal Code:
Change Payment Method
Late Fee If Applicable:
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